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Pathology Structured Reporting - Scenarios

 
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Scenarios
Dataset
Transaction: CDA Document Anatomic Pathology Structured Report 2015
Id psr-transaction-2 ref Version 2015-10-23 10:32:36
Version Label 2.0 Status Draft
Description
false
Description

General definitions of actors are given in the Technical Frameworks General Introduction Appendix A.

A product implementation using this profile must group actors from this profile with actors from a workflow or transport profile to be functional. The grouping of the content module described in this profile to specific actors is described in more detail in the “Required Actor Groupings” section below.

Actors:
  • Content creator (Sender)
  • Content consumer (Receiver)
Both share content in the direction from creator to consumer
Model ClinicalDocument Label APSR20
Actors
Role Name
Sender Content creator
false
Issues (0)
Busy
false
 
 
false
Concepts (80 - Groups: 28 - Items: 52)
Template
1.3.6.1.4.1.19376.1.8.1.1.1 Anatomic Pathology Structured Report Content Module (Dynamic) ref
Questionnaire
ref
Source dataset
APSR 2.0 ( Dynamic ) ref
Concepts
Anatomic Pathology Structured Report
Card/Conf 1…1 Mandatory
Id psr-dataelement-58 Version 2015-08-25 14:34:12
Status Draft Version Label
Description

Anatomic pathology structured reports document the findings on specimens removed from patients for diagnostic or therapeutic reasons. This information can be used for patient care, clinical research and epidemiology. Standardizing and computerizing anatomic pathology reports is necessary to improve the quality of reporting and to facilitate the exchange the exchange and reuse of the content of these reports.

This content profile describes a digital anatomic pathology report shared in a human-readable format, which may include images, and which also contains findings and observations in a machine-readable format, to facilitate the integration of these into the database of a consumer system, and to enable the application of automated reasoning to this content.

The scope of this IHE content profile covers all fields of anatomic pathology (cancers, benign neoplasms as well as non-neoplastic conditions) as well as cytopathology.

Source
IHE Pathology and Laboratory Medicine Technical Framework V7.0, Suppl.APSR 2.0
Terminology Association
Code Display Name Codesystem Equivalence
60568-3 Pathology Synoptic report Logical Observation Identifier Names and Codes equal
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false
Usage (1)
Busy
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Template Path (Card/Conf) Project
Anatomic Pathology Structured Report Content Module 2014-05-13 11:57:57 hl7:ClinicalDocument (1…1 M) Pathology Structured Reporting
false
Issues (0)
Busy
false
 
 
Actors in all scenarios
Name Type Description
Pathologist Person
Pathologist
Ordering Physician Person
Ordering Physician
Custodian Organization
Custodian Organization, Content creator or Content consumer
Device Device
Lab machinery or Software, Content creator
Content creator Person
Pathologist
Content consumer Person
Ordering physician